| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,618 |
4,654 |
$413K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,332 |
1,162 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
958 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
974 |
874 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
452 |
$52K |
| 90658 |
|
1,399 |
1,219 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,416 |
3,040 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
271 |
236 |
$23K |
| 90651 |
|
798 |
681 |
$15K |
| 90670 |
|
594 |
503 |
$11K |
| 90734 |
|
338 |
288 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
133 |
$6K |
| 90698 |
|
261 |
234 |
$5K |
| D1206 |
Topical application of fluoride varnish |
197 |
104 |
$5K |
| 90707 |
|
216 |
186 |
$4K |
| 90716 |
|
190 |
168 |
$4K |
| 90657 |
|
160 |
142 |
$3K |
| 90633 |
|
130 |
113 |
$2K |
| 36410 |
|
188 |
160 |
$2K |
| 90620 |
|
103 |
91 |
$2K |
| 90715 |
|
89 |
84 |
$2K |
| 90744 |
|
82 |
68 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
83 |
$878.69 |
| 90647 |
|
48 |
42 |
$838.08 |
| 90480 |
|
36 |
33 |
$700.00 |
| 90723 |
|
45 |
36 |
$698.40 |
| 36400 |
|
29 |
28 |
$598.64 |
| 90680 |
|
16 |
16 |
$372.48 |
| 90700 |
|
14 |
13 |
$302.64 |
| 90696 |
|
13 |
12 |
$279.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$235.40 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$54.97 |